DR. JOVENCIO JIMENEZ III DPT
NPI 1407874720
Physical Therapist in Glendale, CA
About Dr. Jovencio Jimenez Iii Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOVENCIO JIMENEZ III DPT (NPI 1407874720) is an individual physical therapist in Glendale, California, licensed in California (PT25149) and active in the NPI registry since July 2006.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jovencio Jimenez Iii Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jovencio Jimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glendale, CA 91205
- Reassigned Medicare billing, California enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GLENDALE, CA 91205
GLENDALE, CA 91205
GLENDALE, CA 91205
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jovencio Jimenez's NPI number?
The NPI number for Jovencio Jimenez is 1407874720. It was assigned to this individual provider in the NPPES registry on July 17, 2006.
Where is Jovencio Jimenez located?
Jovencio Jimenez practices at 1415 E Colorado St, Glendale, CA 91205. The listed phone number is (818) 240-5512.
What is Jovencio Jimenez's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jovencio Jimenez enrolled in Medicare?
Yes. Jovencio Jimenez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jovencio Jimenez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jovencio Jimenez reassigns Medicare benefits to Advance Therapy Physical Therapy Clinic, Inc (Glendale, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jovencio Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jovencio Jimenez was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.